Individual
MS. REAGAN LEANNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT, OTR/L
Contact information
Practice address
1282 UNION AVE, MEMPHIS, TN 38104-3414
(901) 722-2000
Mailing address
727 MANN CIR E APT 105, MEMPHIS, TN 38103-4536
(901) 481-6114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1453
TN
225X00000X
Occupational Therapist
Primary
5699
TN
Other
Enumeration date
11/11/2017
Last updated
11/27/2023
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